Individual
DR. LYDIA VON IMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1902 WRIGHT PL STE 200, CARLSBAD, CA 92008-6583
(760) 720-7687
(760) 720-7687
Mailing address
PO BOX 2421, CARLSBAD, CA 92018
(760) 720-7687
(760) 720-7687
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY12267
CA
Other
Enumeration date
03/30/2007
Last updated
03/25/2011
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